Failure to Ensure Required QAPI Committee Attendance
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that all required members of the Quality Assurance Performance Improvement (QAPI) Committee attended at least one meeting during the fourth quarter of 2024. Review of sign-in sheets and documentation showed that the Medical Director was absent from the October meeting, both the Director of Nursing and Medical Director were absent from the November meeting, and the Infection Preventionist along with one additional staff member were absent from the December meeting. The Nursing Home Administrator confirmed that there was no meeting in the quarter where all required members were present, despite the committee meeting monthly.